Open Access Article
Natalia Esteban-Pérez
ab,
Susel Del Sol-Fernández
ac,
Rafael Martín-Rapún
ab and
Jesús Martínez de la Fuente
*ab
aInstituto de Nanociencia y Materiales de Aragón, INMA (CSIC-Universidad de Zaragoza), C/Pedro Cerbuna 12, 50009, Zaragoza, Spain. E-mail: j.m.fuente(at)csic.es
bCentro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Madrid 28029, Spain
cInstituto de Ciencias Físicas, Universidad Nacional Autónoma de México, Av. Universidad s/n, Col. Chamilpa, Cuernavaca, Morelos 62210, Mexico
First published on 16th March 2026
Glucocorticoids are among the most widely used anti-inflammatory and immunosuppressive drugs. However, their prolonged administration is associated with a wide range of adverse side effects including long-lasting immunosuppression. In this study, we aimed to encapsulate two commonly used glucocorticoids with different potency and duration, hydrocortisone and dexamethasone, into poly(lactic-co-glycolic acid) (PLGA) nanoparticles with the goal to modulate inflammatory gene expression in a delivery-dependent manner. We evaluated their anti-inflammatory properties in two in vitro models varying the timing of treatment administration based on lipopolysaccharide M1-polarized macrophages, key effectors of the innate immune system. Our results demonstrated that, for both strategies, drug-loaded nanoparticles significantly reduced the expression of interleukin-6, a pro-inflammatory cytokine, compared to the free drugs. However, in one of the strategies, while free drugs induced upregulation of interleukin-10, a key anti-inflammatory cytokine, no such effect was observed with the nanoparticle-based formulations. Overall, these results demonstrate that PLGA nanoparticles enable sustained glucocorticoid delivery and modulate inflammatory gene expression in activated macrophages in a delivery- and timing-dependent manner, providing comparative insight into how glucocorticoid delivery via PLGA nanoparticles shapes inflammatory gene regulation depending on treatment timing and highlighting the importance of in vitro model design.
New conceptsIn our study, we present a conceptual advance in the administration of glucocorticoids by demonstrating that PLGA nanoparticles can decouple anti-inflammatory efficacy from unwanted immunosuppression. While conventional glucocorticoid therapy often triggers a compensatory upregulation of anti-inflammatory cytokines (such as IL-10), leading to excessive immunosuppression, our nanoparticle platform effectively reduces pro-inflammatory markers (IL-6) without triggering this immunosuppressive spike. Importantly, we show that therapeutic success relies heavily on the specific timing of administration during the inflammatory cycle. This highlights the need for chronotherapeutic approaches in nanomedicine. Consequently, our findings support a strategy for the selective modulation of macrophage polarization, offering a safer approach for treating chronic inflammation that moves beyond simple release kinetics. |
Over the years, several studies have explored the mechanisms by which GCs regulate the immune system. GCs are key modulators of the inflammatory response, exerting effects at multiple stages. During the initial, or “alarm” phase, they attenuate pro-inflammatory signalling pathways and suppress the production of inflammatory mediators, including nuclear factor kappa B (NF-κB) and various pro-inflammatory cytokines such as interleukin-1β (IL-1β), interleukin-6 (IL-6), and interferon- γ (IFN-γ). In the resolution phase, GCs promote the production of anti-inflammatory mediators, thereby facilitating the clearance of apoptotic cells and tissue debris through enhanced phagocytosis.8,9 Importantly, GC effects vary significantly across different immune cell types, highlighting the complexity of their mechanism of action.10,11
However, the clinical use of GC presents a major challenge as they are mainly used for chronic pathologies and in contrast, side effects including hypertension, cataracts, immunosuppression, hyperglycaemia, osteoporosis, obesity and impaired wound healing show up mainly due to long-term therapies.9,12 A promising strategy to mitigate GC-related adverse effects is the use of nanocarriers to enable a sustained release and thus, a more effective treatment. This approach would reduce the frequency of administration and maintain therapeutic drug levels for longer periods, potentially minimizing systemic exposure toxicity.13 As a means to evaluate our hypothesis, in this study, we employed poly(lactic-co-glycolic acid) (PLGA) nanoparticles (NPs) encapsulating either HC or DEX. These two GCs differ significantly in their anti-inflammatory potency and pharmacokinetics, with DEX being approximately 26 times more potent than HC and exhibiting a longer duration of action.14
PLGA is a well-characterized, biocompatible, biodegradable polymer, approved by the U.S Food and Drug Administration (FDA) and the European Medicines Agency (EMA), and degrades into lactic and glycolic acid, which are naturally metabolized via the Krebs cycle. Previous studies have explored the encapsulation of DEX in PLGA NPs to enhance bioavailability and reduce toxicity;15–17 however, comparative analyses between HC and DEX in the context of macrophage-mediated inflammation remain limited. Ultimately, this approach may contribute to the development of safer, more effective anti-inflammatory therapies for chronic conditions requiring long-term GC use.18
We employed macrophages as in vitro model to assess the immunomodulatory effects of GC-loaded NPs in comparison with the free drugs. Macrophages are key effectors of innate immunity and play a crucial role in initiating, sustaining, and resolving inflammation. They can originate either from circulating monocytes that migrate into tissues during inflammation, or from tissue-resident macrophages, which are an independent, self-renewing population derived from embryonic hematopoietic progenitors.19–21
Macrophages are highly plastic and can undergo polarization in response to environmental stimuli such as pro-inflammatory cytokines, bacterial products and signals derived from damaged or stressed tissues. This polarization results in two distinct functional phenotypes: classically activated macrophages (M1), which exhibit pro-inflammatory properties, and alternatively activated macrophages (M2), which are involved in anti-inflammatory responses, tissue repair and angiogenesis.22
M1 polarization is typically induced by lipopolysaccharide (LPS) and IFN- γ, leading to the secretion of inflammatory cytokines such as TNF-α, IL-1, and IL-6, and the expression of inducible nitric oxide synthase (iNOS). In contrast, M2 macrophages secrete anti-inflammatory cytokines such as interleukin-10 (IL-10), transforming growth factor β (TGF-β), and express surface markers as CD206 (mannose receptor). A key metabolic difference between these phenotypes lies in arginine metabolism: M1 macrophages use the iNOS pathway to produce citrulline and nitric oxide (NO), whereas M2 macrophages utilize the arginase pathway to generate ornithine and urea.23 However, the dysregulation of macrophage polarization can lead to different chronic diseases such as rheumatoid arthritis.24 Consequently, strategies aimed at repolarizing macrophages towards restorative phenotype have gained increasing attention.25–27
The aim of this study was to evaluate the immunomodulatory effects of HC and DEX when delivered via PLGA NPs, in comparison with their free forms, using an in vitro M1 macrophage model. While GC delivery via PLGA- based nanoformulations has been explored previously, most studies have focused on a single GC, and direct comparisons between GC of differing potency and pharmacokinetics under identical NP and in vitro conditions remain limited. By examining HC and DEX in parallel, this work investigates formulation-dependent factors, such as release kinetics, influence macrophage inflammatory responses beyond intrinsic drug potency.
Based on these considerations, we developed two experimental strategies using induced M1-polarized macrophages to better understand GC immunomodulation and to evaluate whether their effects are modified when delivered in NPs. In the first strategy, inflammatory stimulation and treatment were administered simultaneously (co-treatment approach), whereas in the second, macrophages were first stimulated with LPS to induce a predominant pro-inflammatory phenotype, followed by treatment with the GC formulations (pre-stimulation approach). This design enabled us to determine whether the therapeutic efficacy of GCs is influenced by the timing of administration relative to the inflammatory response.
Importantly, this study also highlights the relevance of an in vitro model design, demonstrating that identical nanoformulations can elicit distinct cellular responses depending on the experimental context in which they are evaluated.
As shown in Fig. 1B, both drugs exhibited an increasing trend in DL as the drug-to-PLGA ratio increased. However, this trend was disrupted at ratio of 3.5 suggesting a saturation point at which NPs could no longer incorporate additional drug. In the light of the results, a ratio of 2.5 was selected for further studies for, both HC and DEX, as it was the one that achieved the highest DL. At this ratio, HC-loaded NPs achieved a DL of 21.4% ± 1.4, while DEX-loaded NPs reached a DL of 25.1% ± 3.7. Encapsulation efficiency (EE) was 22.6% ± 0.8 in the case of HC-loaded NPs, while for DEX-loaded was 31.0% ± 3.1.
To evaluate colloidal stability, zeta-potential of NPs was measured in water. HC-loaded NPs showed a zeta potential of −8.1 ± 0.6 mV, whereas DEX-loaded ones of −6.5 ± 0.5 mV (Fig. 1C).
Nanoparticle size is a key parameter that can significantly influence in vitro uptake and is also crucial in determining the most appropriate route of administration.29,30 In this study, NPs size was assessed by dynamic light scattering (DLS). HC-loaded NPs exhibited an average hydrodynamic diameter of 248 ± 20 nm while DEX-loaded NPs measured 275 ± 21 nm (Fig. 1D). In addition, the polydispersity index (PDI) of the HC-loaded NPs was 0.17 while the one of the DEX-loaded was 0.14, meaning in both cases monodisperse distributions. The size and charge difference between the two formulations was not significant, indicating that any differences in the in vitro behavior should be attributed to the drug rather than the physicochemical properties of the nanoformulations.
Additionally, NP morphology was characterized by scanning electron microscopy (SEM). In both HC- and DEX-loaded systems, NPs exhibited a uniform and spherical shape (Fig. 1E).
To evaluate the release profile of both nanoformulations, NPs were suspended in dialysis tubes and incubated in PBS at 37 °C under continuous agitation. Under these conditions, neither DEX-loaded NPs nor HC-loaded NPs exhibited a significant burst release, confirming efficient drug encapsulation. However, the two formulations displayed distinct release profiles. After 6 h, approximately 25% of the DEX was released into the medium, whereas only about 10% of HC was released under the same conditions. At 24 h, HC-loaded NPs reached 25% cumulative release, while DEX-loaded NPs had released around 60% of the encapsulated drug (Fig. 2). Thus, the release rate of DEX-loaded NPs was approximately 2.3-fold faster than that of HC-loaded NPs. The DEX release profile observed in this study was also observed by Saraf et al.34 and Costello et al.35
Despite these differences in initial release kinetics, both formulations exhibited sustained release over 48 hours. By this time point, DEX-loaded NPs reached approximately 80% cumulative release, whereas HC-loaded NPs released around 50% of the encapsulated drug. Both drugs exhibited a biphasic release profile, characterized by an initial release phase up to 24 h that transitioned into a plateau, followed by a second phase of sustained release. This biphasic behaviour was observed for both formulations, although it was more pronounced for DEX. Due to its greater hydrophobicity, DEX is likely less tightly entrapped within the PLGA matrix, resulting in a faster and more accentuated release. Overall, the biphasic release observed for both drugs highlight the potential of PLGA NPs as effective nanocarriers capable of sustaining drug release for at least 48 h, thereby minimizing the need for repeated administrations within this period of time.
Since both NPs did not achieve a complete drug release until 48 hours but drug metabolism can occur during this time, MTT assays were conducted after 48 hours of treatment exposure. As expected, both HC- and DEX-loaded NPs were non-cytotoxic across the tested concentrations (Fig. 3A and B). In contrast, free HC showed a dose-dependent reduction in cell viability, while free DEX did not induce any cytotoxic effects. This difference can be attributed to the sustained release profile of NPs, as in the case of HC-loaded ones, only about 50% of the encapsulated drug would be available to the cells after 48 h.
To confirm PLGA NP uptake by macrophages, fluorescently labelled NPs were prepared using Nile Red. These NP exhibited size and surface charge similar to the GC-loaded formulations. Internalization studies showed that after 24 h approximately 80% of the cell population was fluorescent (Fig. 3C), indicating efficient nanoparticle incorporation.
To polarize macrophages to M1, RAW 264.7 cell line was exposed to different concentrations of LPS (1 µg mL−1 and 5 µg mL−1). After 6 h of stimulation, LPS-exposed cells exhibited noticeable morphological changes, appearing larger and with more protrusions in comparison with control cells (Fig. S1A in the SI).39 However, no morphological differences could be observed between the two LPS concentrations tested. After 24 hours, more pronounced alterations were observed: cells displayed numerous vacuoles in the cytoplasm and appeared more elongated (Fig. S1A in the SI).
The Griess reagent was used to measure nitrite levels in cell media as indirect indicator of NO cell production. In this colorimetric assay, nitrites react with sulfanilamide to form a diazonium salt, which subsequently reacts with N-1-naphtylethylenediamine dihydrochloride (NED), resulting in the formation of a coloured dye (Fig. S1B in the SI). Although morphological changes were already evident 6 h after LPS exposure, NO production could not be detected using Griess assay until 48 h post-stimulation. Moreover, no significant differences in nitrite levels were found between the two LPS concentrations tested (1 µg mL−1 and 5 µg mL−1), suggesting a plateau in the cellular response within this range (Fig. S1C in the SI). Based on these findings, a concentration of 1 µg mL−1 LPS was selected for subsequent experiments as no differences between them were seen and overstimulation was not desired as it could cause cell death.
Additionally, immunofluorescence assays were performed to assess the expression of CD38 as marker of M1 and CD206 as marker of M225. CD38 showed a markedly increased expression in LPS-stimulated cells compared to control cells indicating successful M1 polarization. However, basal expression in control cells was observed (Fig. S2A in the SI). In contrast, CD206 expression did not show significant differences between control and LPS-stimulated cells (Fig. S2B in the SI), which is expected as M2 polarization did not take place.
For concomitant treatment, after 48 h exposure with LPS and NPs or the free drug, Griess assay revealed that both HC- and DEX-loaded NPs reduced NO production (Fig. 5A and B). In the case of HC-loaded NPs, the highest concentration resulted in a 35% reduction in NO production compared to LPS-stimulated positive control. Notably, DEX-loaded NPs due to its higher anti-inflammatory potency produced a more pronounced effect, leading to a reduction of nearly 50% in NO production. When considering the free drugs, a clear dose-dependent reduction in NO levels was observed for both HC and DEX, with DEX showing a stronger inhibitory effect across all concentrations tested. However, it is important to consider that NP release is not fully accomplished within 48 h, which may influence the observed response and must be taken into account when interpreting the results.
In the case of LPS pre-stimulation strategy, cells were pre-stimulated over 24 h with LPS, after which the medium was replaced with fresh medium containing the treatment over 48 h. Under these conditions, both HC- and DEX-loaded NPs were still able to reduce NO concentration (Fig. 5C and D). However, no marked differences were observed when compared to the concomitant treatment. Interestingly, free HC and DEX were less effective in these conditions than during co-treatment. Although they still induced a reduction in NO production compared to untreated cells, their anti-inflammatory effect was slightly lower than the observed in concomitant strategy, suggesting that the timing of drug administration influences the development of the inflammatory response.
Although free drugs appeared to induce a greater reduction in NO production within the experimental window, it is important to highlight that Griess assay quantifies the cumulative amount of NO produced throughout the entire assay. In the case of NP treatment, sustained release may delay the drug availability and lead to an underestimation of the NP-associated response when using this method, as the assay reflects total NO accumulation from the beginning of the treatment to the endpoint.
While free drugs are immediately bioavailable, NP-mediated delivery provides prolonged exposure to the active compound, which may lead to a slower onset of detectable NO production in the experimental frame.
Under concomitant treatment, iNOS expression was significantly reduced across all four treatment groups compared to LPS-stimulated control (Fig. 6A), with no significant differences were observed between formulations. These results indicate that both free and NP-encapsulated GCs effectively downregulated iNOS expression under the tested conditions. Given the sustained-release profile of the nanoformulations, transcriptional readouts may capture regulatory effects that are not fully reflected by cumulative NO measurements.
In contrast, IL-6 was markedly overexpressed in both the LPS control group and cells treated with free drugs, whereas reduced expression was detected in cells treated with the NP formulations (Fig. 6B). Similar results were observed by Sun et al.40 suggesting that the delivery platform of GC can influence IL-6 regulation under inflammatory conditions. While free GCs partially modulate inflammation activation, immediate availability may not be sufficient to prevent LPS-driven IL-6 overexpression under the experimental condition tested. In comparison, NP-treated cells exhibited a distinct IL-6 expression profile, which may be related to differences in drug exposure kinetics associated with controlled release.
IL-10 was overexpressed in LPS-stimulated control cells, which may indicate a compensatory mechanism intended to modulate the inflammatory response and promoting cell survival.41 No significant overexpression was observed in any of the treated groups, with no significant differences among them (Fig. 6C). Although GC are commonly associated with M2c42 responses, the absence of IL-10 upregulation suggests that transcriptional regulation may differ depending on the delivery system. This effect could be related to differences in drug exposure time or to the altered availability of the drug resulting from encapsulation.
In the pre-stimulation strategy, iNOS showed similar pattern as observed in concomitant treatment. Initial 24 h LPS exposure induced iNOS overexpression, which was reduced in all treatment groups with no significant differences between formulations (Fig. 6D), indicating comparable capacity to downregulate iNOS expression regardless of drug delivery method.
IL-6 expression after LPS pre-stimulation showed similar profile as in concomitant strategy, overexpression occurred in both the LPS stimulated and free-drug-treated cells, but not in those treated with NPs. This consistent pattern suggests that controlled release influences IL-6 transcriptional regulation in activated macrophages under the conditions examined (Fig. 6E).
IL-6 is a key pro-inflammatory cytokine involved not only in the acute-phase immune response, but also in the progression to chronic inflammation and autoimmune diseases including rheumatoid arthritis, inflammatory bowel disease, and cytokine release syndromes.43–45 Therefore, its downregulation through sustained GC delivery by NPs may be relevant for understanding how controlled release systems influence inflammatory signalling pathways in vitro. Compared with free drugs, which are immediately bioavailable, NP formulations provide a prolonged exposure to GCs, which may contribute to differential transcriptional dynamics. This observation supports the potential of NP-based systems in managing conditions where long-term modulation of IL-6 is desirable.
IL-10 expression exhibited distinct behaviour under the pre-stimulation strategy. LPS induced cells without treatment did not show IL-10 overexpression. Interestingly, elevated IL-10 levels were observed in cells treated with the free drugs that was not observed in the concomitant strategy, while no overexpression occurred in those treated with NPs formulations (Fig. 6F). These findings indicate that sustained drug release via PLGA NPs influences in vitro inflammatory gene expression, particularly in previously activated macrophages.
:
25), mol wt 66
000–107
000), PVA (average Mw 146
000–186
000, 87–89% hydrolyzed), HC, DEX, methanol (MeOH) and chloroform were purchased from Sigma-Aldrich. Mini Dialysis kit 8 kDa cut-off, 250 µL was purchased from GE Healthcare Bio-Sciences Corp. Piscotawa, NJ 0885-1327, USA. RAW 264.7 cell line (ATCC number TIB-71) was purchased from ATCC. Phosphated buffer saline (PBS, 1X, pH 7.4, Gibco), Dulbecco's modified Eagle Medium (DMEM, Gibco) were purchased from Thermo Fischer. Fetal bovine serum (FBS), glutaMAX, Griess reagent kit assay (ref. MAK367) and LPS from Salmonella enterica serotype typhimurium was purchased from Sigma-Aldrich. CD38 (ref. PA5-89326) and CD206 (ref. PA5-101657) polyclonal antibodies, AlexaFluor™ 488 goat anti-rabbit (ref. A11008) and AlexaFluor™ 555 goat anti-rabbit (ref. A32732) from Invitrogen were purchased from Thermo Fischer. Isolation Kit and RT-qPCR master mix were purchased from NZYtech. Primers were obtained from Biomers (Table S1).
:
MeOH (7
:
1). Subsequently, 5 mL of 1% PVA was added (aqueous phase). The emulsion was formed by sonication at 40% amplitude for 5 min (UP400 St Ultrasonic Homogenizer, Hielscher Ultrasonics, Teltow, Germany).Afterwards, the suspension was left overnight to allow the organic solvent to evaporate. Nanoparticles were purified through a two-step centrifugation process: initial centrifugation at 4.000 g for 2 min where the pellet was discarded for removing the biggest nanoparticles and a second centrifugation at 20.000 g for 20 min. The supernatant was discarded to take away the unencapsulated drug, and the resulting pellet was resuspended in 3 mL of deionized water. To enhance long-term stability, nanoparticles were lyophilized with 0.5% mannitol as a cryoprotectant.
For the calculation of EE and DL, 0.25 mg of nanoparticles were disrupted by dissolving them in 500 µL of methanol and sonicated for 30 minutes. After sonication, the suspension was filtered with a filter 0.22 µm pore size and analyzed by High Performance Liquid Chromatography (HPLC). HPLC measurements were performed on a Shimadzu Prominence-i LC-2030C 3D HPLC system with a PDA detector and a Phenomenex Luna Omega 5 µm C18 100 Å LC column (150 mm × 4.6 mm). As eluents water and acetonitrile were used. The chromatographic gradient consisted in 35% of acetonitrile for 8 min, followed by 2 min linear increase to 95% maintained during 6 minutes. The acetonitrile concentration was then decreased to 35% in 4 min. Linear calibration curves passing through the origin were obtained for both compounds. The regression equation for hydrocortisone was y (µg mL−1) = 3.99 × 10−5x (R2 = 0.999), and for dexamethasone y (µg mL−1) = 6.06 × 10−5x (R2 = 0.999) (Fig. S3 in the SI).
At predetermined time intervals (0.25, 0.5, 1, 2, 4, 6, 24, 28, 30 and 48 hours), 300 µL of the release medium were taken out and replaced with an equal volume of fresh PBS. The collected samples were filtered and analyzed by HPLC to quantify the amount of drug released over time.
000 g. The supernatant was discarded, and cells were resuspended in 400 µL of PBS. Fluorescence was measured using CytoFLEX flow cytometer (Beckman Coulter Life Sciences, Indianapolis, IN, USA) with a 488 nm laser and Nile Red fluorescence was detected in the ECD-A channel. Data were analyzed using CytExpert 2.4 software (Beckman Coulter).RAW 264.7 macrophages were successfully polarized into M1 and used as in vitro model to evaluate the immunomodulatory effects of GC-loaded NPs. The two treatment strategies -concomitant administration and treatment after LPS stimulation- showed different cellular responses highlighting the influence of treatment timing. In both approaches, GC-loaded NPs and free drugs were able to significantly reduce NO production, with differences consistent with the known relative potency of GC. RT-qPCR analyses showed a comparable downregulation of iNOS expression for both NPs and the free drugs.
Analysis of inflammatory cytokine gene expression revealed that GC-loaded NPs were more effective preventing IL-6 overexpression than free drugs in both treatment strategies. In contrast, IL-10 overexpression was observed only in the treatment after LPS stimulation only in the case of free GC, suggesting that drug delivery mode and release kinetics may influence transcriptional inflammatory regulation.
Overall, these results indicate that PLGA NPs enable sustained delivery of GC, allowing modulation of inflammatory gene expression in activated macrophages in a manner that differs from free GC administration. This study provides comparative insight into how GC potency, release kinetics, and timing of administration shape macrophage inflammatory responses in vitro. Importantly, these findings highlight the relevance of experimental design and treatment timing when evaluating nanoformulations as identical delivery systems may elicit distinct cellular responses depending on the inflammatory context.
The data supporting the findings of this study are available within the article and its Supplementary Information (SI). The supplementary information provides additional data on LPS-induced macrophage morphological changes and nitrite production, immunofluorescence staining of polarization markers CD38 and CD206, HPLC calibration curves for hydrocortisone and dexamethasone, and primer sequences used for RT-qPCR analysis. See DOI: https://doi.org/10.1039/d5nh00782h.
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